When a Payment is Required: Fees must be made payable to “Treasurer, State of Ohio”. Personal checks or cash will not be accepted. Send a certified check, cashier’s check or money order. Business checks from government entities, corporations, and education or training programs will be accepted. Payments must be drawn on a United States (U.S.) bank and payable in U.S. dollars. Please do not staple your payment to the application.

*Notarized signatures are no longer required for licensure and certification applications.

Updated Licensure & Certification Applications

The Ohio Board of Nursing has updated all licensure and certification applications. The revised applications were effective 11/2013.
Outdated Applications will not be accepted after 1/1/2014.

If you are mailing one of the forms below to the Board of Nursing, please write on your envelope, along with the address, ATTENTION: MA-C. This will help facilitate processing your request. If you held a Pilot Program Certificate and wish to obtain an Interim Certificate, please contact Angela White by phone at (614) 466-6966 or by e-mail at awhite@nursing.ohio.gov.

If you are mailing one of the forms below to the Board of Nursing,
please write on your envelope, along with the address, ATTENTION:
COMMUNITY HEALTH WORKER UNIT. This will help facilitate processing
your request.

If you are mailing one of the forms below to the Board of Nursing,
please write on your envelope, along with the address, ATTENTION:
RENEWAL UNIT. This will help facilitate processing your request.

CHANGING YOUR ADDRESS: Print this Name and Address Change
Form located at the top of this page, fill it out completely, and either mail or fax it
to the address/fax number found on the form. If there is
no change in name, you may also e-mail all of the required
information to renewal@nursing.ohio.gov.
If your name has changed, the form must be mailed to the
Board along with an official, certified copy of the legal
document changing your name.

CHECKING THE STATUS OF YOUR APPLICATION: Check the status of your application on the Board’s web site at http://www.nursing.ohio.gov/Verification.htm. Click on ''verification" and you will be directed to the license and certificate verification site. Refer to the instructions on the web page regarding recommended browsers. Once we have started processing your application, your name will appear as “pending” until your license is issued.

PAYMENTS: Fees must be made payable to “Treasurer, State of Ohio”. Personal checks or cash will not be accepted. Send a certified check, cashier’s check or money order. Business checks from government entities, corporations, and education or training programs will be accepted. Payments must be drawn on a United States (U.S.) bank and payable in U.S. dollars. Please do not staple your payment to the application.

ALL APPLICANTS: If you are mailing one of the forms below to the Board of Nursing, please send to ATTENTION: LICENSURE UNIT. This will facilitate the processing of your request. Please refer to the background check instructions that are attached to the examination and endorsement applications.

Endorsement Applicants: Complete Form A (enclosed) for verification of original licensure and/or a current, valid, and unrestricted license in another jurisdiction. If you hold a license in a NURSYS State, you must request a verification on-line at www.nursys.com. If you do not know if your state is part of the NURSYS system, you can view this information on this web site.

If you are mailing one of
the forms below to the Board of Nursing, please write on your
envelope, along with the address, ATTENTION: ADVANCED PRACTICE
UNIT. This will help facilitate processing your request.

Fees must be made payable to “Treasurer, State of Ohio”. Personal checks or cash will not be accepted. Send a certified check, cashier’s check or money order. Business checks from government entities, corporations, and education or training programs will be accepted. Payments must be drawn on a United States (U.S.) bank and payable in U.S. dollars. Please do not staple your payment to the application.

*Notarized signatures are no longer required for licensure and certification applications.

Prescriptive Authority Forms

Senate Bill 89 was enacted on December 28, 2009 and will be effective March 29, 2010. Revised applications for prescriptive authority are forthcoming. Senate Bill 89 does not affect in-state applicants who hold a certificate of authority. Click Here to View the Complete Summary

CTP (In State Only) - Complete this application if you currently do not hold a certificate to prescribe in any jurisdiction.

Out of State Applicants (Please select the application below that applies to you.)

CTP (Out of State Only) - Complete this application if you currently hold a certificate to prescribe in another jurisdiction that includes the authority to prescribe controlled substances.

CTP (Out of State Only) - Complete this application if you currently hold a certificate to prescribe in another jurisdiction that does NOT include prescribing controlled substances.

*Notarized signatures are no longer required for licensure and certification applications.

The forms below are sample copies. Please send a written request for a copy of the form you are interested in obtaining by email to: renewal@nursing.ohio.gov (renewal forms); or by fax at (614) 466-0388, or by mailing the request to the Board. Telephone requests will not be accepted.

* Links to or from non-governmental web sites do not constitute endorsement.
* The Board of Nursing is an equal opportunity employer.
*
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